CHARLES ELLSWORTH ELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ELLSWORTH

Last Name

ELSON

Suffix

Business Name

CHARLES ELLSWORTH ELSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011